Rotational thyrotracheopexy after cricoidectomy for low‐grade laryngeal chrondrosarcoma

Rovó, László; Bach, Ádám; Sztanó, Balázs; Matievics, Vera; Szegesdi, Ilona; Castellanos, Paul F.

doi:10.1002/lary.26142

Cited by 11 publications

(12 citation statements)

References 29 publications

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“…Based on the fact that cervical lymph node metastases are rare, neck dissection should be reserved for clinically or radiologically suspected lymph node metastases. The complex function of the larynx depends on the conservation of the cricoid cartilage[ 11 ]. Surgery that preserves laryngeal function is recommended whenever possible.…”

Section: Discussionmentioning

confidence: 99%

Low-grade chondrosarcoma of the larynx: A case report

Vučković¹,

Klisić²,

Filipović³

et al. 2021

WJCC

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BACKGROUND Chondrosarcomas of the larynx are malignant tumours that most commonly originate from the hyaline cartilage. Chondrosarcoma of the larynx, the most common type of low-grade tumour, accounts for 1% of all laryngeal neoplasms. CASE SUMMARY We present the case of a 60-year-old female patient who developed progressive hoarseness and shortness of breath over a 2-mo period. The patient had undergone resection of a laryngeal tumour 14 years before the aforementioned symptoms occurred, and histopathological analysis indicated that it was a chondroma. During the assessment of the patient, a submucosal, oval-shaped tumour was detected that was predominantly located on the left side of the larynx and was approximately 6 cm in size. The decision to perform left partial vertical laryngectomy was made. A pathohistological diagnosis of low-grade chondrosarcoma was made. Considering the results of pathohistological analysis and the positive margins of the resection, a total laryngectomy was performed. During the 12-mo follow-up, no local relapse or regional or distant metastases was detected. CONCLUSION Chondrosarcoma of the larynx must be considered in the differential diagnosis of laryngeal submucosal tumours. It is crucial to carefully sample of tumour tissue, differentiate chondroma and chondrosarcoma, and consider the possibility of malignant changes from chondroma to chondrosarcoma.

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Section: Discussionmentioning

confidence: 99%

Low-grade chondrosarcoma of the larynx: A case report

Vučković¹,

Klisić²,

Filipović³

et al. 2021

WJCC

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“…[15][16][17][18][19][20][21][22] For similar reasons, other novel reconstructive techniques have not been widely adopted. 23,24 Laryngoscope 132: January 2022 Zeitels and Baird: Laryngeal Chondrosarcomas…”

Section: Discussionmentioning

confidence: 99%

“…However, we remain mindful that the utilization of a cryopreserved aortic homograft has had limited adoption due to the unorthodox approach and diminished performance of open partial laryngectomies treating carcinomas since the 1980s coinciding with diminished familiarity with these 150‐year‐old techniques 15–22 . For similar reasons, other novel reconstructive techniques have not been widely adopted 23,24 …”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment Strategies for Laryngeal Chondrosarcomas: A Single Institution Investigation

Zeitels

Baird

2021

The Laryngoscope

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Objectives/Hypothesis Laryngeal chondrosarcomas are rare malignancies with a spectrum of presentations due to varying size, local extension, and biological behavior. Moreover, these neoplasms have differing effects on respiration, phonation, and deglutition. Consequently, it is valuable to assess endoscopic and transcervical treatment strategies. Study Design Retrospective case series. Methods A retrospective review was done from 2001 to 2020; 25 patients were identified with laryngeal chondrosarcomas. Their tumor pathology and treatment were analyzed. Results All 25 chondrosarcomas were in the posterior cricoid and arose in proximity to at least one cricoarytenoid joint: 23 of 25 grade I–II (low‐mid), one of 25 grade II–III (mid‐high), and one of 25 grade III (high). Some tumor was left in 23 of 25 to preserve cricoarytenoid‐joint function. There were no known disease‐specific deaths (~8‐year median follow‐up). Final surgical treatment in 24 of 25 was: 13 of 25 transcervical partial laryngectomy, 7 of 25 transoral‐endoscopic removal, 4 of 25 total laryngectomy, and 1 of 25 observation. Conclusions In this series, unresected intercurrent disease with laryngeal chondrosarcomas was not life‐threatening. Therefore, disease was typically left in the posterior cricoid region to preserve mobility of at least one cricoarytenoid joint. This philosophy employed an ultra‐function‐sparing conservation approach that preserved and/or restored optimal voice, airway patency and swallowing. Level of Evidence 4 Laryngoscope, 132:169–176, 2022

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“…With some variability related to the different techniques, the decannulation rate generally ranges from 60% to over 90%. [11][12][13][14][15][16] As a functional comparison, the partial crico-tracheal resection (PCTR) has been advocated as the treatment of choice for the cure of severe subglottic stenosis by several authors. 17,18 This technique involved the resection of the anterior cricoid arch and thinning of the posterior cricoid plate with the preservation of a posterior membranous tracheal mucosal flap.…”

Section: Discussionmentioning

confidence: 99%

“…The reported functional outcomes after total cricoidectomy are good. With some variability related to the different techniques, the decannulation rate generally ranges from 60% to over 90% 11–16 …”

Section: Discussionmentioning

confidence: 99%

The glottic–subglottic laryngectomy: Surgical technique, oncological, and functional outcomes

Bertolin

Lionello

Baldovin

et al. 2021

Journal of Surgical Oncology

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Objectives: The aim of this article was to describe the surgical technique and report the oncological and functional outcomes of the partial glottic-subglottic laryngectomy (GSL).Methods: A retrospective review of the clinical charts of patients who underwent GSL for laryngeal cancer from 1989 to 2020 at the Otolaryngology Unit of the Vittorio Veneto Hospital, a referral center for laryngeal cancer treatment. Results:The present article considered 36 patients who were submitted to GSL for laryngeal cancer. The pathological exam found squamous cell carcinoma (SCC) in 16 cases, adenoid-cystic carcinoma (ACC) in 9 cases, laryngeal chondrosarcoma in 8 cases, 1 giant cell carcinoma, 1 carcinosarcoma, and 1 metastasis of colon adenocarcinoma. Considering the 16 SCC cases we observed a recurrence rate of 31%, the overall survival (OS) and disease-specific survival (DSS) were 75%. The 9 ACC cases had a recurrence rate of 23% and OS/DSS of 88%. In the 8 chondrosarcomas no relapses were reported and the OS/DSS were 100%. Among the patients without recurrence of the disease, a definitive decannulation was achieved in 21 cases (75%). Conclusions:The GSL represents a valid alternative to total laryngectomy in selected cases of laryngeal cancer involving the glottic and subglottic regions.

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Rotational thyrotracheopexy after cricoidectomy for low‐grade laryngeal chrondrosarcoma

Abstract: 4. Laryngoscope, 127:1109-1115, 2017.

Cited by 11 publications

References 29 publications

Low-grade chondrosarcoma of the larynx: A case report

Low-grade chondrosarcoma of the larynx: A case report

Surgical Treatment Strategies for Laryngeal Chondrosarcomas: A Single Institution Investigation

The glottic–subglottic laryngectomy: Surgical technique, oncological, and functional outcomes

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